RANDOLPH MEDICAL SUPPLY INC Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097000372

License Status

CANCELLED

Business

Business Name

RANDOLPH MEDICAL SUPPLY INC

Original Issue Date

06/30/1978

Expiration Date

12/31/1992

City

ST CHARLES

State

Zip

60174

County

KANE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/18/2005